To President of LAS
Ivan B. Kovsh____________

117485, Moscow, P.O.Box 27
Fax: (495) 334-47-80

Application

After studying the Regulations of the Laser Association and the decisions of the Assemblies of LAS I ask to join me the Laser Association as an individual member. The receipt for payment of entrance and annual fee is attached.

(signature)

Date

Download Questionnary and Application From in *.doc format

 

QUESTIONNARY
for individual member of LAS

Last name, first name, second name:
Occupation, company:
Title:
Mail address:
Telephone, Fax, E-mail:
Academic degree, academic rank:
Year of birth:
Graduation institution:
Field of "laser" specialization:
Professional experience:

[] researcher[] developer of instruments:

[] production organizer[] developer of technologies, methods

[] doctor [] user of laser technologies[] other (please specify)

Additional information: (membership in academic councils, editorial boards, professional associations, number of publications, etc.) (not more than 6 lines).